胡倩雯



摘 要 目的:探讨奥硝唑联合微波照射治疗慢性盆腔炎的疗效。方法:选取慢性盆腔炎患者103例,采用随机数表法分为对照组(52例)和观察组(51例)。对照组采取奥硝唑治疗,观察组采取奥硝唑联合微波照射治疗,比较两组的临床疗效、炎症因子水平变化、1年内的复发率及不良反应发生率。结果:观察组的总有效率高于对照组,CRP、TNF-α、IL-6水平及1年复发率低于对照组(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:奥硝唑联合微波照射治疗慢性盆腔炎,能够提高疗效,降低机体炎性反应,降低复发率,且不会增加不良反应发生率,安全性高。
关键词 慢性盆腔炎 奥硝唑 微波照射 复发率
中图分类号:R711.33; R454.5 文献标志码:A 文章编号:1006-1533(2021)11-0039-02
Effect of ornidazole combined with microwave irradiation on chronic pelvic inflammatory disease
HU Qianwen
(Department of Gynecology, the Peoples Hospital of Poyang County, Jiangxi Poyang 333100, China)
ABSTRACT Objective: To investigate the effect of ornidazole combined with microwave irradiation in the treatment of chronic pelvic inflammatory disease. Methods: One hundred and three patients with chronic pelvic inflammatory disease were randomly divided into a control group (52 cases) and an observation group (51 cases). The control group was treated with ornidazole alone, and the observation group with ornidazole combined with microwave irradiation. The clinical efficacy, the changes of inflammatory factors, the recurrence rate and the incidence of adverse reactions within one year were compared between the two groups. Results: The total effective rate was higher while CRP, TNF-α and IL-6 levels and one-year recurrence rate were lower in the observation group than the control group (P<0.05). There were no significant differences in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: Ornidazole combined with microwave irradiation in the treatment of chronic pelvic inflammatory disease can improve the curative effect, reduce the body inflammatory reaction and the recurrence rate, and furthermore can not increase the incidence of adverse reactions with high safety.
KEy WORDS chronic pelvic inflammatory disease; ornidazole; microwave irradiation; recurrence rate
盆腔炎为妇科常见和多发疾病之一,根据病情危急程度可将其分为急性和慢性盆腔炎。慢性盆腔炎往往是由于急性盆腔炎治疗不及时或不彻底而造成病情迁延所致,具有病程长、反复发作等特点[1]。患者临床主要症状表现为腰骶疼痛、下腹坠胀等,严重者甚至不孕,对女性正常生活造成极大影响。目前,临床治疗以药物抗感染、物理療法、运动疗法等方式为主,但单纯采取某一种治疗手段均无法取得理想疗效。随着科学技术的不断创新,微波照射治疗因其疗效确切、操作简单等优势,
被临床医师所认可[2-3]。
1 资料与方法
1.1 一般资料
选取2017年2月—2019年2月在江西省鄱阳县人民医院接受治疗的慢性盆腔炎患者103例,采用随机数表法分为对照组52例,观察组51例。其中对照组年龄21~57岁,平均年龄(38.43±7.19)岁;……